Provider Demographics
NPI:1740447515
Name:SHEELY KIRKLAND, CARLEEN A (R EEG T)
Entity type:Individual
Prefix:
First Name:CARLEEN
Middle Name:A
Last Name:SHEELY KIRKLAND
Suffix:
Gender:F
Credentials:R EEG T
Other - Prefix:
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Mailing Address - Street 1:350 INTERLOCKEN BLVD
Mailing Address - Street 2:STE. 360
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80021-3477
Mailing Address - Country:US
Mailing Address - Phone:303-339-1499
Mailing Address - Fax:
Practice Address - Street 1:350 INTERLOCKEN BLVD
Practice Address - Street 2:STE. 360
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80021-3477
Practice Address - Country:US
Practice Address - Phone:303-339-1499
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-20
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic
No246ZE0500XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherEEG